Development of On-Site Medical System for Mass-Gathering Events During TOKYO 2020: Vulnerability Analysis Using Healthcare Failure Mode and Effect Analysis

At mass-gathering events of the Olympic and Paralympic Games, a well-organized, on-site medical system is essential. This study evaluated the vulnerabilities of the prehospital medical system of the TOKYO 2020 Olympic and Paralympic Games (TOKYO2020) to propose corrections that can be generalized to...

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Bibliographic Details
Published in:Disaster medicine and public health preparedness 2023-01, Vol.17, p.e66-e66, Article e66
Main Authors: Yamamoto, Ryo, Maeshima, Katsuya, Asakawa, Shoko, Haiden, Akina, Nishida, Yusho, Yamazaki, Noriko, Homma, Koichiro, Sasaki, Junichi
Format: Article
Language:English
Subjects:
Concepts in Disaster Medicine
Emergency medical care
First Aid
Flooring
Health care
Health care delivery
Healthcare Failure Mode and Effect Analysis
Hospitals
Humans
Infectious diseases
Mass casualty incidents
Mass Gatherings
Nurses
Paralympic Games
Patients
Physicians
Questionnaires
Risk assessment
Sports
Surgeons
Tokyo
Venue
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Summary:At mass-gathering events of the Olympic and Paralympic Games, a well-organized, on-site medical system is essential. This study evaluated the vulnerabilities of the prehospital medical system of the TOKYO 2020 Olympic and Paralympic Games (TOKYO2020) to propose corrections that can be generalized to other mass gatherings. The healthcare failure mode and effect analysis (HFMEA) was adopted to analyze vulnerabilities of the on-site medical system proposed by the organizing committee of TOKYO2020. Processes from detecting a patient on the scene to completing transport to a hospital were analyzed. Ten processes with 47 sub-processes and 122 possible failure modes were identified. HFMEA revealed 9 failure modes as vulnerabilities: misidentification of patient, delayed immediate care at the scene, misjudgment of disposition from the on-site medical suite, and inappropriate care during transportation to hospital. Proposed corrections included surveillance to decrease blind spots, first aid brochures for spectators, and uniform protocol for health care providers at the scene. The on-site medical system amended by HFMEA seemed to work appropriately in TOKYO2020.
ISSN:1935-7893
1938-744X
DOI:10.1017/dmp.2021.329